193 results.
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Legal Health Record: a Component of Overall EHR Strategy
Author: Cottrell, Carlton
Source: Journal of AHIMA
Publication Date: March 2007
By now, most people working in healthcare are familiar with the term electronic health record, or EHR, as well as the various forms that it might take. The legal EHR is not as well understood, particularly outside the HIM department, because many are unfamiliar with the term legal health....
Record Disclosure and the EHR: Defining and Managing the Subset of Data Disclosed upon Request
Author: McLendon, Kelly
Source: Journal of AHIMA
Publication Date: February 2007
Ensuring that electronic health records are sound business records is key to EHR development, implementation, and use. The mere specter of legal ramifications concerning EHRs should get everyone to take notice of this important issue.
Health information managers should use....
Is 'Legal EHR' a Redundancy? Common Definitions and Key Issues in Migrating to EHRs as Business Records
Author: Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: February 2007
Some HIM professionals and legal counsel have questioned the use of the term “legal electronic health record.” By definition, isn’t a health record the organization’s business record and thus the record released in legal proceedings? The term “legal” would seem to be unnecessary. This art....
Guidelines for EHR Documentation to Prevent Fraud
Author: AHIMA e-HIM Work Group: Guidelines for EHR Documentation Practice
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: January 2007
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Resolution on the Legal Health Record
Author:
Source: Journal of AHIMA
Publication Date: January 2007
Preamble
Whereas, it is acknowledged that the health care industry is in transition to electronic health records and most health care organizations have health records that are in a hybrid state;
Whereas, for evidentiary and business purposes it is required that healthcar....
Foundational Concepts of the Legal EHR
Author: Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: January 2007
The concept of a legal health record (whether paper or electronic) is generally well understood within the HIM profession. However, during the transition from paper to electronic records some organizations are expressing concern about the use of the terms “legal health record” and “legal....
Is Your Electronic Record a Legal Record?
Author:
Source: Journal of AHIMA
Publication Date: January 2007
EHR systems can provide many benefits to patient care. But an EHR system that does not meet the basic requirements of the organization’s business record or legal medical record puts the practitioner or organization at risk.
The risk is real, because the industry has yet to focus sufficientl....
LHRs in the Electronic Record Age: What We Know So Far
Author: McLendon, Kelly
Source: AHIMA Convention
Publication Date: October 15, 2006
Legal electronic health records are recognized as key to the development of EHRs in general. Although clinicians and EHR system designers tend to ignore the formal record keeping aspects of EHR system development, the legal ramifications get everyone to take notice. People are curious and will....
Analog Records in a Digital Age: Pitfalls for Discovery Involving Electronic Health Records
Author: Pisto, Laird A.
Source: AHIMA Convention
Publication Date: October 15, 2006
Introduction
Expansive development of the EHR is underway, and in many instances, the following situations apply:
EHRs have not kept pace with developing approaches to disclosure in litigation settings.
Past practices of converting digital records to analog form, and then replicating....
Resolution on the Legal Health Record
Author: AHIMA House of Delegates
Source: AHIMA HoD Resolution
Publication Date: October 08, 2006
ubmitted by AHIMA's Electronic Health Record Practice Council
Preamble
Whereas, it is acknowledged that the health care industry is in transition to electronic health records and most health care organizations have health records that are in a hybrid state,
Whereas, for eviden....
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